Iturriaga, Christian Rene
Iturriaga, Christian Rene is an sole proprietor health care provider with primary practice located at 5219 W Clearwater Ave Ste 16 , Kennewick WA 99336-1980. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Iturriaga, Christian Rene can be contacted via phone (509) 374-1660.Contact Information
Primary practice address
5219 W Clearwater Ave Ste 16
Kennewick WA 99336-1980
Phone: (509) 374-1660
Fax: (509) 374-9374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | DN00000423 | Washington |
Profile Details
| NPI number | 1417150038 |
|---|---|
| LBN Legal business name | Iturriaga, Christian Rene |
| Credentials | DPD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2007 |
| Last updated | Jul 28th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417150038 | NPPES |
| Washington | MEDICAID | 1091700 | |
| Washington | MEDICAID | 5049226 |
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